Provider Demographics
NPI:1215331525
Name:SAYLOR PHYSICAL THERAPY CORNELIUS LLC
Entity type:Organization
Organization Name:SAYLOR PHYSICAL THERAPY CORNELIUS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:GENERAL PARTNER
Authorized Official - Prefix:MR
Authorized Official - First Name:JAMES
Authorized Official - Middle Name:E
Authorized Official - Last Name:SAYLOR
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:561-670-0756
Mailing Address - Street 1:19460 OLD JETTON RD
Mailing Address - Street 2:SUITE 202
Mailing Address - City:CORNELIUS
Mailing Address - State:NC
Mailing Address - Zip Code:28031-6456
Mailing Address - Country:US
Mailing Address - Phone:704-255-6879
Mailing Address - Fax:704-255-6881
Practice Address - Street 1:19460 OLD JETTON RD
Practice Address - Street 2:SUITE 202
Practice Address - City:CORNELIUS
Practice Address - State:NC
Practice Address - Zip Code:28031-6456
Practice Address - Country:US
Practice Address - Phone:704-255-6879
Practice Address - Fax:704-255-6881
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-10-15
Last Update Date:2014-10-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCC201427900436-1305S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes305S00000XManaged Care OrganizationsPoint of Service